"\r\n\u003Cp\u003E\r\n Geben Sie die Daten Ihrer Anwendung in dieses Formular ein. Wir benötigen zumindest die Daten zum Transportmedium, die Kapazität des erforderlichen Drucks oder Vakuums und die Temperatur, um für Sie den richtigen Industrieventilator auszuwählen. Basierend auf diesen Spezifikationen senden wir Ihnen ein unverbindliches Angebot.\r\n\u003C\/p\u003E\r\n\r\n\u003Cdiv class=\"column-fields\"\u003E\r\n \u003Clabel\u003E\r\n \u003Cselect name=\"medium\"\u003E\r\n \u003Coption value=\"\"\u003Ewähle Mediums\u003C\/option\u003E\r\n \u003Coption value=\"Luft\"\u003ELuft\u003C\/option\u003E\r\n \u003Coption value=\"Rauchgas\"\u003ERauchgas\u003C\/option\u003E\r\n \u003Coption value=\"Erdgas\"\u003EErdgas\u003C\/option\u003E\r\n \u003Coption value=\"Biogas\"\u003EBiogas\u003C\/option\u003E\r\n \u003Coption value=\"Staub\"\u003EStaub (bitte erklären)\u003C\/option\u003E\r\n \u003Coption value=\"sonstig\"\u003Esonstig (bitte erklären)\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Erklärung\" name=\"medium_explain\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Cdiv class=\"fields-group\"\u003E\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Druck\" name=\"pressure\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel class=\"fields-group-small\"\u003E\r\n \u003Cselect name=\"pressure_value\"\u003E\r\n \u003Coption value=\"Pa\"\u003EPa\u003C\/option\u003E\r\n \u003Coption value=\"mbar\"\u003Embar\u003C\/option\u003E\r\n \u003Coption value=\"kPa\"\u003EkPa\u003C\/option\u003E\r\n \u003Coption value=\"bar\"\u003Ebar\u003C\/option\u003E\r\n \u003Coption value=\"mmAq\"\u003EmmAq\u003C\/option\u003E\r\n \u003Coption value=\"kgf\/m2\"\u003Ekfg\/m²\u003C\/option\u003E\r\n \u003Coption value=\"psi\"\u003Epsi\u003C\/option\u003E\r\n \u003Coption value=\"eigen\"\u003Eeigen\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel class=\"fields-group-small\"\u003E\r\n \u003Cselect name=\"pressure_type\"\u003E\r\n \u003Coption value=\"Druckunterschied\"\u003EDruckunterschied\u003C\/option\u003E\r\n \u003Coption value=\"Absolutdruck\"\u003EAbsolutdruck\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n \u003C\/div\u003E\r\n\r\n \u003Cdiv class=\"fields-group\"\u003E\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Vakuum\" name=\"vacuum\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel class=\"fields-group-small\"\u003E\r\n \u003Cselect name=\"vacuum_value\"\u003E\r\n \u003Coption value=\"Pa\"\u003EPa\u003C\/option\u003E\r\n \u003Coption value=\"mbar\"\u003Embar\u003C\/option\u003E\r\n \u003Coption value=\"kPa\"\u003EkPa\u003C\/option\u003E\r\n \u003Coption value=\"bar\"\u003Ebar\u003C\/option\u003E\r\n \u003Coption value=\"mmAq\"\u003EmmAq\u003C\/option\u003E\r\n \u003Coption value=\"kfg\/m2\"\u003Ekfg\/m²\u003C\/option\u003E\r\n \u003Coption value=\"psi\"\u003Epsi\u003C\/option\u003E\r\n \u003Coption value=\"eigen\"\u003Eeigen\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel class=\"fields-group-small\"\u003E\r\n \u003Cselect name=\"vacuum_type\"\u003E\r\n \u003Coption value=\"Druckunterschied\"\u003EDruckunterschied\u003C\/option\u003E\r\n \u003Coption value=\"Absolutdruck\"\u003EAbsolutdruck\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n \u003C\/div\u003E\r\n\r\n \u003Cdiv class=\"fields-group\"\u003E\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Kapazität\" name=\"capacity\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel class=\"fields-group-small\"\u003E\r\n \u003Cselect name=\"capacity_value\"\u003E\r\n \u003Coption value=\"m3\/h\"\u003Em³\/h\u003C\/option\u003E\r\n \u003Coption value=\"m3\/min\"\u003Em³\/min\u003C\/option\u003E\r\n \u003Coption value=\"m3\/s\"\u003Em³\/s\u003C\/option\u003E\r\n \u003Coption value=\"l\/min\"\u003El\/min\u003C\/option\u003E\r\n \u003Coption value=\"cfm(ft3\/min)\"\u003Ecfm(ft³\/min)\u003C\/option\u003E\r\n \u003Coption value=\"eigen\"\u003Eeigen\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel class=\"fields-group-small\"\u003E\r\n \u003Csmall\u003Ebei angegebenem Druck oder Vakuum\u003C\/small\u003E\r\n \u003C\/label\u003E\r\n \u003C\/div\u003E\r\n\r\n \u003Cdiv class=\"fields-group\"\u003E\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Max.Temp Medium\" name=\"temp_medium\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel class=\"fields-group-small\"\u003E\r\n \u003Cselect name=\"temp_medium_type\"\u003E\r\n \u003Coption value=\"°C\"\u003E°C\u003C\/option\u003E\r\n \u003Coption value=\"°K\"\u003E°K\u003C\/option\u003E\r\n \u003Coption value=\"°F\"\u003E°F\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n \u003C\/div\u003E\r\n\r\n \u003Cdiv class=\"fields-group\"\u003E\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Max. Umgebungstemp\" name=\"temp_environment\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel class=\"fields-group-small\"\u003E\r\n \u003Cselect name=\"temp_environment_type\"\u003E\r\n \u003Coption value=\"°C\"\u003E°C\u003C\/option\u003E\r\n \u003Coption value=\"°K\"\u003E°K\u003C\/option\u003E\r\n \u003Coption value=\"°F\"\u003E°F\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n \u003C\/div\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cselect name=\"atex_zone\"\u003E\r\n \u003Coption value=\"\"\u003EATEX Zone\u003C\/option\u003E\r\n \u003Coption value=\"nein\"\u003Enein\u003C\/option\u003E\r\n \u003Coption value=\"2\"\u003E2\u003C\/option\u003E\r\n \u003Coption value=\"22\"\u003E22\u003C\/option\u003E\r\n \u003Coption value=\"1\"\u003E1\u003C\/option\u003E\r\n \u003Coption value=\"21\"\u003E21\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cselect name=\"drive\"\u003E\r\n \u003Coption value=\"\"\u003EAntrieb\u003C\/option\u003E\r\n \u003Coption value=\"direkt\"\u003Edirekt\u003C\/option\u003E\r\n \u003Coption value=\"Keilriemen\"\u003EKeilriemen\u003C\/option\u003E\r\n \u003Coption value=\"Kupplung\"\u003EKupplung\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Chr \/\u003E\r\n\r\n \r\n \u003Cdiv class=\"column-fields\"\u003E\r\n \u003Cdiv class=\"fields-group\"\u003E\r\n \u003Clabel class=\"fields-group-small\"\u003E\r\n \u003Cselect name=\"prefix\"\u003E\r\n \u003Coption value=\"\"\u003EAnrede *\u003C\/option\u003E\r\n \u003Coption value=\"Herr\"\u003EHerr\u003C\/option\u003E\r\n \u003Coption value=\"Frau\"\u003EFrau\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel class=\"fields-group-large\"\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Vollständiger Name *\" name=\"name\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n \u003C\/div\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Firma *\" name=\"company\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Adresse\" name=\"address\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Postleitzahl\" name=\"zipcode\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"Ort\" name=\"city\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cselect class=\"form-field\" name=\"country\"\u003E\r\n \u003Coption value=\"\"\u003ELand *\u003C\/option\u003E\r\n \u003Coption value=\"NL\"\u003ENederland\u003C\/option\u003E\r\n \u003Coption value=\"UK\"\u003EVerenigd Koninkrijk\u003C\/option\u003E\r\n \u003Coption value=\"BE\"\u003EBelgië\u003C\/option\u003E\r\n \u003Coption value=\"DE\"\u003EDuitsland\u003C\/option\u003E\r\n\r\n \u003Coption value=\"AF\"\u003EAfghanistan\u003C\/option\u003E\r\n \u003Coption value=\"AL\"\u003EAlbania\u003C\/option\u003E\r\n \u003Coption value=\"DZ\"\u003EAlgeria\u003C\/option\u003E\r\n \u003Coption value=\"AS\"\u003EAmerican Samoa\u003C\/option\u003E\r\n\r\n \u003Coption value=\"AD\"\u003EAndorra\u003C\/option\u003E\r\n \u003Coption value=\"AO\"\u003EAngola\u003C\/option\u003E\r\n \u003Coption value=\"AI\"\u003EAnguilla\u003C\/option\u003E\r\n \u003Coption value=\"AQ\"\u003EAntarctica\u003C\/option\u003E\r\n \u003Coption value=\"AG\"\u003EAntigua and Barbuda\u003C\/option\u003E\r\n \u003Coption value=\"AR\"\u003EArgentina\u003C\/option\u003E\r\n \u003Coption value=\"AM\"\u003EArmenia\u003C\/option\u003E\r\n \u003Coption value=\"AW\"\u003EAruba\u003C\/option\u003E\r\n \u003Coption value=\"AU\"\u003EAustralia\u003C\/option\u003E\r\n \u003Coption value=\"AT\"\u003EAustria\u003C\/option\u003E\r\n \u003Coption value=\"AZ\"\u003EAzerbaijan\u003C\/option\u003E\r\n \u003Coption value=\"BS\"\u003EBahamas\u003C\/option\u003E\r\n \u003Coption value=\"BH\"\u003EBahrain\u003C\/option\u003E\r\n \u003Coption value=\"BD\"\u003EBangladesh\u003C\/option\u003E\r\n\r\n \u003Coption value=\"BB\"\u003EBarbados\u003C\/option\u003E\r\n \u003Coption value=\"BY\"\u003EBelarus\u003C\/option\u003E\r\n \u003Coption value=\"BE\"\u003EBelgium\u003C\/option\u003E\r\n\r\n \u003Coption value=\"BZ\"\u003EBelize\u003C\/option\u003E\r\n \u003Coption value=\"BJ\"\u003EBenin\u003C\/option\u003E\r\n \u003Coption value=\"BM\"\u003EBermuda\u003C\/option\u003E\r\n \u003Coption value=\"BT\"\u003EBhutan\u003C\/option\u003E\r\n \u003Coption value=\"BO\"\u003EBolivia\u003C\/option\u003E\r\n \u003Coption value=\"BA\"\u003EBosnia and Herzegowina\u003C\/option\u003E\r\n \u003Coption value=\"BW\"\u003EBotswana\u003C\/option\u003E\r\n \u003Coption value=\"BV\"\u003EBouvet Island\u003C\/option\u003E\r\n \u003Coption value=\"BR\"\u003EBrazil\u003C\/option\u003E\r\n \u003Coption value=\"IO\"\u003EBritish Indian Ocean Territory\u003C\/option\u003E\r\n \u003Coption value=\"BN\"\u003EBrunei Darussalam\u003C\/option\u003E\r\n \u003Coption value=\"BG\"\u003EBulgaria\u003C\/option\u003E\r\n \u003Coption value=\"BF\"\u003EBurkina Faso\u003C\/option\u003E\r\n \u003Coption value=\"BI\"\u003EBurundi\u003C\/option\u003E\r\n\r\n \u003Coption value=\"KH\"\u003ECambodia\u003C\/option\u003E\r\n \u003Coption value=\"CM\"\u003ECameroon\u003C\/option\u003E\r\n \u003Coption value=\"CA\"\u003ECanada\u003C\/option\u003E\r\n\r\n \u003Coption value=\"CV\"\u003ECape Verde\u003C\/option\u003E\r\n \u003Coption value=\"KY\"\u003ECayman Islands\u003C\/option\u003E\r\n \u003Coption value=\"CF\"\u003ECentral African Republic\u003C\/option\u003E\r\n \u003Coption value=\"TD\"\u003EChad\u003C\/option\u003E\r\n \u003Coption value=\"CL\"\u003EChile\u003C\/option\u003E\r\n \u003Coption value=\"CN\"\u003EChina\u003C\/option\u003E\r\n \u003Coption value=\"CX\"\u003EChristmas Island\u003C\/option\u003E\r\n \u003Coption value=\"CC\"\u003ECocos (Keeling) Islands\u003C\/option\u003E\r\n \u003Coption value=\"CO\"\u003EColombia\u003C\/option\u003E\r\n \u003Coption value=\"KM\"\u003EComoros\u003C\/option\u003E\r\n \u003Coption value=\"CG\"\u003ECongo\u003C\/option\u003E\r\n \u003Coption value=\"CD\"\u003ECongo, the Democratic Republic of the\u003C\/option\u003E\r\n \u003Coption value=\"CK\"\u003ECook Islands\u003C\/option\u003E\r\n \u003Coption value=\"CR\"\u003ECosta Rica\u003C\/option\u003E\r\n\r\n \u003Coption value=\"CI\"\u003ECote d'Ivoire\u003C\/option\u003E\r\n \u003Coption value=\"HR\"\u003ECroatia (Hrvatska)\u003C\/option\u003E\r\n \u003Coption value=\"CU\"\u003ECuba\u003C\/option\u003E\r\n\r\n \u003Coption value=\"CY\"\u003ECyprus\u003C\/option\u003E\r\n \u003Coption value=\"CZ\"\u003ECzech Republic\u003C\/option\u003E\r\n \u003Coption value=\"DK\"\u003EDenmark\u003C\/option\u003E\r\n \u003Coption value=\"DJ\"\u003EDjibouti\u003C\/option\u003E\r\n \u003Coption value=\"DM\"\u003EDominica\u003C\/option\u003E\r\n \u003Coption value=\"DO\"\u003EDominican Republic\u003C\/option\u003E\r\n \u003Coption value=\"TP\"\u003EEast Timor\u003C\/option\u003E\r\n \u003Coption value=\"EC\"\u003EEcuador\u003C\/option\u003E\r\n \u003Coption value=\"EG\"\u003EEgypt\u003C\/option\u003E\r\n \u003Coption value=\"SV\"\u003EEl Salvador\u003C\/option\u003E\r\n \u003Coption value=\"GQ\"\u003EEquatorial Guinea\u003C\/option\u003E\r\n \u003Coption value=\"ER\"\u003EEritrea\u003C\/option\u003E\r\n \u003Coption value=\"EE\"\u003EEstonia\u003C\/option\u003E\r\n \u003Coption value=\"ET\"\u003EEthiopia\u003C\/option\u003E\r\n\r\n \u003Coption value=\"FK\"\u003EFalkland Islands (Malvinas)\u003C\/option\u003E\r\n \u003Coption value=\"FO\"\u003EFaroe Islands\u003C\/option\u003E\r\n \u003Coption value=\"FJ\"\u003EFiji\u003C\/option\u003E\r\n\r\n \u003Coption value=\"FI\"\u003EFinland\u003C\/option\u003E\r\n \u003Coption value=\"FR\"\u003EFrance\u003C\/option\u003E\r\n \u003Coption value=\"FX\"\u003EFrance, Metropolitan\u003C\/option\u003E\r\n \u003Coption value=\"GF\"\u003EFrench Guiana\u003C\/option\u003E\r\n \u003Coption value=\"PF\"\u003EFrench Polynesia\u003C\/option\u003E\r\n \u003Coption value=\"TF\"\u003EFrench Southern Territories\u003C\/option\u003E\r\n \u003Coption value=\"GA\"\u003EGabon\u003C\/option\u003E\r\n \u003Coption value=\"GM\"\u003EGambia\u003C\/option\u003E\r\n \u003Coption value=\"GE\"\u003EGeorgia\u003C\/option\u003E\r\n \u003Coption value=\"DE\"\u003EGermany\u003C\/option\u003E\r\n \u003Coption value=\"GH\"\u003EGhana\u003C\/option\u003E\r\n \u003Coption value=\"GI\"\u003EGibraltar\u003C\/option\u003E\r\n \u003Coption value=\"GR\"\u003EGreece\u003C\/option\u003E\r\n \u003Coption value=\"GL\"\u003EGreenland\u003C\/option\u003E\r\n\r\n \u003Coption value=\"GD\"\u003EGrenada\u003C\/option\u003E\r\n \u003Coption value=\"GP\"\u003EGuadeloupe\u003C\/option\u003E\r\n \u003Coption value=\"GU\"\u003EGuam\u003C\/option\u003E\r\n\r\n \u003Coption value=\"GT\"\u003EGuatemala\u003C\/option\u003E\r\n \u003Coption value=\"GN\"\u003EGuinea\u003C\/option\u003E\r\n \u003Coption value=\"GW\"\u003EGuinea-Bissau\u003C\/option\u003E\r\n \u003Coption value=\"GY\"\u003EGuyana\u003C\/option\u003E\r\n \u003Coption value=\"HT\"\u003EHaiti\u003C\/option\u003E\r\n \u003Coption value=\"HM\"\u003EHeard and Mc Donald Islands\u003C\/option\u003E\r\n \u003Coption value=\"VA\"\u003EHoly See (Vatican City State)\u003C\/option\u003E\r\n \u003Coption value=\"HN\"\u003EHonduras\u003C\/option\u003E\r\n \u003Coption value=\"HK\"\u003EHong Kong\u003C\/option\u003E\r\n \u003Coption value=\"HU\"\u003EHungary\u003C\/option\u003E\r\n \u003Coption value=\"IS\"\u003EIceland\u003C\/option\u003E\r\n \u003Coption value=\"IN\"\u003EIndia\u003C\/option\u003E\r\n \u003Coption value=\"ID\"\u003EIndonesia\u003C\/option\u003E\r\n \u003Coption value=\"IR\"\u003EIran (Islamic Republic of)\u003C\/option\u003E\r\n\r\n \u003Coption value=\"IQ\"\u003EIraq\u003C\/option\u003E\r\n \u003Coption value=\"IE\"\u003EIreland\u003C\/option\u003E\r\n \u003Coption value=\"IL\"\u003EIsrael\u003C\/option\u003E\r\n\r\n \u003Coption value=\"IT\"\u003EItaly\u003C\/option\u003E\r\n \u003Coption value=\"JM\"\u003EJamaica\u003C\/option\u003E\r\n \u003Coption value=\"JP\"\u003EJapan\u003C\/option\u003E\r\n \u003Coption value=\"JO\"\u003EJordan\u003C\/option\u003E\r\n \u003Coption value=\"KZ\"\u003EKazakhstan\u003C\/option\u003E\r\n \u003Coption value=\"KE\"\u003EKenya\u003C\/option\u003E\r\n \u003Coption value=\"KI\"\u003EKiribati\u003C\/option\u003E\r\n \u003Coption value=\"KP\"\u003EKorea, Democratic People's Republic of\u003C\/option\u003E\r\n \u003Coption value=\"KR\"\u003EKorea, Republic of\u003C\/option\u003E\r\n \u003Coption value=\"KW\"\u003EKuwait\u003C\/option\u003E\r\n \u003Coption value=\"KG\"\u003EKyrgyzstan\u003C\/option\u003E\r\n \u003Coption value=\"LA\"\u003ELao People's Democratic Republic\u003C\/option\u003E\r\n \u003Coption value=\"LV\"\u003ELatvia\u003C\/option\u003E\r\n \u003Coption value=\"LB\"\u003ELebanon\u003C\/option\u003E\r\n\r\n \u003Coption value=\"LS\"\u003ELesotho\u003C\/option\u003E\r\n \u003Coption value=\"LR\"\u003ELiberia\u003C\/option\u003E\r\n \u003Coption value=\"LY\"\u003ELibyan Arab Jamahiriya\u003C\/option\u003E\r\n\r\n \u003Coption value=\"LI\"\u003ELiechtenstein\u003C\/option\u003E\r\n \u003Coption value=\"LT\"\u003ELithuania\u003C\/option\u003E\r\n \u003Coption value=\"LU\"\u003ELuxembourg\u003C\/option\u003E\r\n \u003Coption value=\"MO\"\u003EMacau\u003C\/option\u003E\r\n \u003Coption value=\"MK\"\u003EMacedonia, The Former Yugoslav Republic of\u003C\/option\u003E\r\n \u003Coption value=\"MG\"\u003EMadagascar\u003C\/option\u003E\r\n \u003Coption value=\"MW\"\u003EMalawi\u003C\/option\u003E\r\n \u003Coption value=\"MY\"\u003EMalaysia\u003C\/option\u003E\r\n \u003Coption value=\"MV\"\u003EMaldives\u003C\/option\u003E\r\n \u003Coption value=\"ML\"\u003EMali\u003C\/option\u003E\r\n \u003Coption value=\"MT\"\u003EMalta\u003C\/option\u003E\r\n \u003Coption value=\"MH\"\u003EMarshall Islands\u003C\/option\u003E\r\n \u003Coption value=\"MQ\"\u003EMartinique\u003C\/option\u003E\r\n \u003Coption value=\"MR\"\u003EMauritania\u003C\/option\u003E\r\n\r\n \u003Coption value=\"MU\"\u003EMauritius\u003C\/option\u003E\r\n \u003Coption value=\"YT\"\u003EMayotte\u003C\/option\u003E\r\n \u003Coption value=\"MX\"\u003EMexico\u003C\/option\u003E\r\n\r\n \u003Coption value=\"FM\"\u003EMicronesia, Federated States of\u003C\/option\u003E\r\n \u003Coption value=\"MD\"\u003EMoldova, Republic of\u003C\/option\u003E\r\n \u003Coption value=\"MC\"\u003EMonaco\u003C\/option\u003E\r\n \u003Coption value=\"MN\"\u003EMongolia\u003C\/option\u003E\r\n \u003Coption value=\"MS\"\u003EMontserrat\u003C\/option\u003E\r\n \u003Coption value=\"MA\"\u003EMorocco\u003C\/option\u003E\r\n \u003Coption value=\"MZ\"\u003EMozambique\u003C\/option\u003E\r\n \u003Coption value=\"MM\"\u003EMyanmar\u003C\/option\u003E\r\n \u003Coption value=\"NA\"\u003ENamibia\u003C\/option\u003E\r\n \u003Coption value=\"NR\"\u003ENauru\u003C\/option\u003E\r\n \u003Coption value=\"NP\"\u003ENepal\u003C\/option\u003E\r\n \u003Coption value=\"NL\"\u003ENetherlands\u003C\/option\u003E\r\n \u003Coption value=\"AN\"\u003ENetherlands Antilles\u003C\/option\u003E\r\n \u003Coption value=\"NC\"\u003ENew Caledonia\u003C\/option\u003E\r\n\r\n \u003Coption value=\"NZ\"\u003ENew Zealand\u003C\/option\u003E\r\n \u003Coption value=\"NI\"\u003ENicaragua\u003C\/option\u003E\r\n \u003Coption value=\"NE\"\u003ENiger\u003C\/option\u003E\r\n\r\n \u003Coption value=\"NG\"\u003ENigeria\u003C\/option\u003E\r\n \u003Coption value=\"NU\"\u003ENiue\u003C\/option\u003E\r\n \u003Coption value=\"NF\"\u003ENorfolk Island\u003C\/option\u003E\r\n \u003Coption value=\"MP\"\u003ENorthern Mariana Islands\u003C\/option\u003E\r\n \u003Coption value=\"NO\"\u003ENorway\u003C\/option\u003E\r\n \u003Coption value=\"OM\"\u003EOman\u003C\/option\u003E\r\n \u003Coption value=\"PK\"\u003EPakistan\u003C\/option\u003E\r\n \u003Coption value=\"PW\"\u003EPalau\u003C\/option\u003E\r\n \u003Coption value=\"PA\"\u003EPanama\u003C\/option\u003E\r\n \u003Coption value=\"PG\"\u003EPapua New Guinea\u003C\/option\u003E\r\n \u003Coption value=\"PY\"\u003EParaguay\u003C\/option\u003E\r\n \u003Coption value=\"PE\"\u003EPeru\u003C\/option\u003E\r\n \u003Coption value=\"PH\"\u003EPhilippines\u003C\/option\u003E\r\n \u003Coption value=\"PN\"\u003EPitcairn\u003C\/option\u003E\r\n\r\n \u003Coption value=\"PL\"\u003EPoland\u003C\/option\u003E\r\n \u003Coption value=\"PT\"\u003EPortugal\u003C\/option\u003E\r\n \u003Coption value=\"PR\"\u003EPuerto Rico\u003C\/option\u003E\r\n\r\n \u003Coption value=\"QA\"\u003EQatar\u003C\/option\u003E\r\n \u003Coption value=\"RE\"\u003EReunion\u003C\/option\u003E\r\n \u003Coption value=\"RO\"\u003ERomania\u003C\/option\u003E\r\n \u003Coption value=\"RU\"\u003ERussian Federation\u003C\/option\u003E\r\n \u003Coption value=\"RW\"\u003ERwanda\u003C\/option\u003E\r\n \u003Coption value=\"KN\"\u003ESaint Kitts and Nevis\u003C\/option\u003E\r\n \u003Coption value=\"LC\"\u003ESaint LUCIA\u003C\/option\u003E\r\n \u003Coption value=\"VC\"\u003ESaint Vincent and the Grenadines\u003C\/option\u003E\r\n \u003Coption value=\"WS\"\u003ESamoa\u003C\/option\u003E\r\n \u003Coption value=\"SM\"\u003ESan Marino\u003C\/option\u003E\r\n \u003Coption value=\"ST\"\u003ESao Tome and Principe\u003C\/option\u003E\r\n \u003Coption value=\"SA\"\u003ESaudi Arabia\u003C\/option\u003E\r\n \u003Coption value=\"SN\"\u003ESenegal\u003C\/option\u003E\r\n \u003Coption value=\"SC\"\u003ESeychelles\u003C\/option\u003E\r\n\r\n \u003Coption value=\"SL\"\u003ESierra Leone\u003C\/option\u003E\r\n \u003Coption value=\"SG\"\u003ESingapore\u003C\/option\u003E\r\n \u003Coption value=\"SK\"\u003ESlovakia (Slovak Republic)\u003C\/option\u003E\r\n\r\n \u003Coption value=\"SI\"\u003ESlovenia\u003C\/option\u003E\r\n \u003Coption value=\"SB\"\u003ESolomon Islands\u003C\/option\u003E\r\n \u003Coption value=\"SO\"\u003ESomalia\u003C\/option\u003E\r\n \u003Coption value=\"ZA\"\u003ESouth Africa\u003C\/option\u003E\r\n \u003Coption value=\"GS\"\u003ESouth Georgia and the South Sandwich Islands\u003C\/option\u003E\r\n \u003Coption value=\"ES\"\u003ESpain\u003C\/option\u003E\r\n \u003Coption value=\"LK\"\u003ESri Lanka\u003C\/option\u003E\r\n \u003Coption value=\"SH\"\u003ESt. Helena\u003C\/option\u003E\r\n \u003Coption value=\"PM\"\u003ESt. Pierre and Miquelon\u003C\/option\u003E\r\n \u003Coption value=\"SD\"\u003ESudan\u003C\/option\u003E\r\n \u003Coption value=\"SR\"\u003ESuriname\u003C\/option\u003E\r\n \u003Coption value=\"SJ\"\u003ESvalbard and Jan Mayen Islands\u003C\/option\u003E\r\n \u003Coption value=\"SZ\"\u003ESwaziland\u003C\/option\u003E\r\n \u003Coption value=\"SE\"\u003ESweden\u003C\/option\u003E\r\n\r\n \u003Coption value=\"CH\"\u003ESwitzerland\u003C\/option\u003E\r\n \u003Coption value=\"SY\"\u003ESyrian Arab Republic\u003C\/option\u003E\r\n \u003Coption value=\"TW\"\u003ETaiwan, Province of China\u003C\/option\u003E\r\n\r\n \u003Coption value=\"TJ\"\u003ETajikistan\u003C\/option\u003E\r\n \u003Coption value=\"TZ\"\u003ETanzania, United Republic of\u003C\/option\u003E\r\n \u003Coption value=\"TH\"\u003EThailand\u003C\/option\u003E\r\n \u003Coption value=\"TG\"\u003ETogo\u003C\/option\u003E\r\n \u003Coption value=\"TK\"\u003ETokelau\u003C\/option\u003E\r\n \u003Coption value=\"TO\"\u003ETonga\u003C\/option\u003E\r\n \u003Coption value=\"TT\"\u003ETrinidad and Tobago\u003C\/option\u003E\r\n \u003Coption value=\"TN\"\u003ETunisia\u003C\/option\u003E\r\n \u003Coption value=\"TR\"\u003ETurkey\u003C\/option\u003E\r\n \u003Coption value=\"TM\"\u003ETurkmenistan\u003C\/option\u003E\r\n \u003Coption value=\"TC\"\u003ETurks and Caicos Islands\u003C\/option\u003E\r\n \u003Coption value=\"TV\"\u003ETuvalu\u003C\/option\u003E\r\n \u003Coption value=\"UG\"\u003EUganda\u003C\/option\u003E\r\n \u003Coption value=\"UA\"\u003EUkraine\u003C\/option\u003E\r\n\r\n \u003Coption value=\"AE\"\u003EUnited Arab Emirates\u003C\/option\u003E\r\n \u003Coption value=\"GB\"\u003EUnited Kingdom\u003C\/option\u003E\r\n \u003Coption value=\"US\"\u003EUnited States\u003C\/option\u003E\r\n\r\n \u003Coption value=\"UM\"\u003EUnited States Minor Outlying Islands\u003C\/option\u003E\r\n \u003Coption value=\"UY\"\u003EUruguay\u003C\/option\u003E\r\n \u003Coption value=\"UZ\"\u003EUzbekistan\u003C\/option\u003E\r\n \u003Coption value=\"VU\"\u003EVanuatu\u003C\/option\u003E\r\n \u003Coption value=\"VE\"\u003EVenezuela\u003C\/option\u003E\r\n \u003Coption value=\"VN\"\u003EViet Nam\u003C\/option\u003E\r\n \u003Coption value=\"VG\"\u003EVirgin Islands (British)\u003C\/option\u003E\r\n \u003Coption value=\"VI\"\u003EVirgin Islands (U.S.)\u003C\/option\u003E\r\n \u003Coption value=\"WF\"\u003EWallis and Futuna Islands\u003C\/option\u003E\r\n \u003Coption value=\"EH\"\u003EWestern Sahara\u003C\/option\u003E\r\n \u003Coption value=\"YE\"\u003EYemen\u003C\/option\u003E\r\n \u003Coption value=\"YU\"\u003EYugoslavia\u003C\/option\u003E\r\n \u003Coption value=\"ZM\"\u003EZambia\u003C\/option\u003E\r\n \u003Coption value=\"ZW\"\u003EZimbabwe\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"telefoon *\" name=\"phone\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cinput type=\"text\" placeholder=\"e-mail *\" name=\"email\" value=\"\" \/\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Cselect name=\"contact_type\"\u003E\r\n \u003Coption value=\"\"\u003EInformieren Sie mich per *\u003C\/option\u003E\r\n \u003Coption value=\"E-mail\"\u003EE-mail\u003C\/option\u003E\r\n \u003Coption value=\"Post\"\u003EPost\u003C\/option\u003E\r\n \u003Coption value=\"Telefon\"\u003ETelefon\u003C\/option\u003E\r\n \u003C\/select\u003E\r\n \u003C\/label\u003E\r\n\r\n \u003Clabel\u003E\r\n \u003Ctextarea placeholder=\"Wenn Sie Fragen haben, können Sie diese hier eingeben\" name=\"message\"\u003E\u003C\/textarea\u003E\r\n \u003C\/label\u003E\r\n \u003C\/div\u003E\r\n\u003C\/div\u003E\r\n\r\n\u003Cscript type=\"text\/javascript\"\u003E\r\n $(document).ready(function() {\r\n });\r\n\u003C\/script\u003E"